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Promoting the Use of Advance Directives: An Empirical Study-Reply
Kimber P. Richter, MA;
Stephen B. Fawcett, PhD;
Adrienne Paine-Andrews, PhD
University of Kansas Lawrence
Sondra Langel
Kansas Health Ethics Wichita
Lucia Biehler, RN
Wichita Medical Practice Association
Robert Manning, MD
University of Kansas School of Medicine Wichita
Arch Fam Med. 1996;5(7):383.
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In reply
Following passage of the Patient Self-Determination Act,1 hospitals and other health care entities created a plethora of forms and informational materials. Yet it is not at all clear that information alone increases completion and filing of advance directives among the general publicColeman and Jernecjic's experience is likely the rule among those who have sought to increase the use of advance directives.
Pearlman2 suggested that we "identify the optimal circumstances for advance care planning: where and when (inpatient, outpatient, health promotion screening visits), who should be involved, and how often advance directives should be discussed and reviewed." For some ethnic groups, information or discussions about end-of-life decision making may be anathema. Carrese and Rhodes3 found that discussing negative information conflicts with traditional Navajo values and may be viewed as potentially harmful by Navajo patients. Likewise, Blackhall and colleagues4 found that Korean American patients preferred that their families
. . . [Full Text PDF of this Article]
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